NPI | 1942540877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q5148) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q5148) |
Enumeration Date | 2013-03-01 |
Last Update Date | 2017-06-27 |